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WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 401k Plan overview

Plan NameWEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC.
Plan identification number 506

WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

FOX BROS. PIGGLY WIGGLY, INC. has sponsored the creation of one or more 401k plans.

Company Name:FOX BROS. PIGGLY WIGGLY, INC.
Employer identification number (EIN):391611134
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062018-06-01MARY LIEBLANG2019-12-13
5062017-06-01
5062016-06-01PATRICK V. FOX
5062015-06-01PATRICK V. FOX
5062014-06-01PATRICK V. FOX
5062013-06-01PATRICK V. FOX

Plan Statistics for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC.

401k plan membership statisitcs for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC.

Measure Date Value
2018: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2018 401k membership
Total participants, beginning-of-year2018-06-01241
Total number of active participants reported on line 7a of the Form 55002018-06-010
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-010
2017: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2017 401k membership
Total participants, beginning-of-year2017-06-01156
Total number of active participants reported on line 7a of the Form 55002017-06-01241
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01241
2016: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2016 401k membership
Total participants, beginning-of-year2016-06-01168
Total number of active participants reported on line 7a of the Form 55002016-06-01156
Total of all active and inactive participants2016-06-01156
Total participants2016-06-01156
2015: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2015 401k membership
Total participants, beginning-of-year2015-06-01172
Total number of active participants reported on line 7a of the Form 55002015-06-01168
Total of all active and inactive participants2015-06-01168
Total participants2015-06-010
2014: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2014 401k membership
Total participants, beginning-of-year2014-06-01151
Total number of active participants reported on line 7a of the Form 55002014-06-01172
Total of all active and inactive participants2014-06-01172
Total participants2014-06-010
2013: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2013 401k membership
Total participants, beginning-of-year2013-06-01114
Total number of active participants reported on line 7a of the Form 55002013-06-01151
Total of all active and inactive participants2013-06-01151
Total participants2013-06-010

Form 5500 Responses for WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC.

2018: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01This submission is the final filingYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – InsuranceYes
2016: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: WEEKLY DISABILITY INCOME INSURANCE FOR EMPLOYEES OF FOX BROS. PIGGLY WIGGLY, INC. 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01First time form 5500 has been submittedYes
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number248500
Policy instance 1
Insurance contract or identification number248500
Number of Individuals Covered242
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $7,692
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,692
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number248500
Policy instance 1
Insurance contract or identification number248500
Number of Individuals Covered241
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $10,141
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,141
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010152277
Policy instance 1
Insurance contract or identification number000010152277
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $9,198
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,384
Insurance broker organization code?3
Insurance broker nameBURKWALD & ASSOCIATES INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010152277
Policy instance 1
Insurance contract or identification number000010152277
Number of Individuals Covered172
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $7,641
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,641
Insurance broker organization code?3
Insurance broker nameBURKWALD & ASSOCIATES INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010152277
Policy instance 1
Insurance contract or identification number000010152277
Number of Individuals Covered151
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $5,150
Total amount of fees paid to insurance companyUSD $747
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,150
Amount paid for insurance broker fees747
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameBURKWALD & ASSOCIATES INC.

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